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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013418191
Report Date: 07/12/2019
Date Signed: 07/12/2019 04:09:15 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:ESCUELA BILINGUE INTERNACIONALFACILITY NUMBER:
013418191
ADMINISTRATOR:JENNIFER GALLOSOFACILITY TYPE:
850
ADDRESS:410 ALCATRAZ AVETELEPHONE:
(510) 653-3324
CITY:OAKLANDSTATE: CAZIP CODE:
94609
CAPACITY:105CENSUS: 20DATE:
07/12/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Jennifer GallosoTIME COMPLETED:
04:30 PM
NARRATIVE
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Licensing Program Analyst Caroline Colson met with Erica Castro, Summer Camp Director, for a random annual inspection at 9:00 AM. Jennifer Galloso, center director, arrived during the inspection. A complete inspection of the facility was conducted. There are 2 classrooms for the entire program. Present in the facility were 20 children and 5 staff members including the camp director. Two children's records were reviewed by the LPA and the licensee on 7/12/19 at 11:13 AM. C1 and C2 have immunization records on the California School Immunization Form. Sign-in and sign-out sheets were reviewed to verify census and signatures. The facility is in good repair. CLASSROOMS: The entire center was inspected. There are adequate play and learning materials available. Furniture and equipment is age appropriate and in good repair. There is adequate heating, ventilation and lighting. Drinking water is available inside and outside the center. There are working telephones on site. There is proper individual storage space for each child. The children do take naps at this facility. There are separate bathrooms for staff and children. The isolation area for sick children is the office. The isolation bathroom is the staff bathroom located near the office. BATHROOMS AND TOILETING AREAS: Toilets and faucets work properly. The children are able to reach the sinks and toilets. Toilet paper, soap, and paper towels are all available to the children. Adequate lighting is provided in all bathrooms. The school has cold and hot water available to the children. INSPECTION OF FOOD SERVICE AREA: The school provides two snacks a day. Food was inspected for freshness and quantity. INSPECTION OF OUTDOOR PLAY AREA: There are age appropriate toys and materials for the children. There is 1 large play structure, bicycles and many other play equipment available for use. HEALTH RELATED SERVICES: Camp Director states that there are medications stored at the center. Earthquake emergency items are available inside of each classroom. The first aid kit is complete and available.

See LIC 809 C for additional information
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline ColsonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ESCUELA BILINGUE INTERNACIONAL
FACILITY NUMBER: 013418191
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/12/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/12/2019
Section Cited
CCR
1596.8662(b)(1)
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On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

S2 is missing the Mandated Report Training Certificate.
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Licensee will ensure that all staff take the Mandated Reporter Online Training and print a certificate for the file. A copy of all certificates will be sent to Oakland CCL.
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This requirement was not met as evidenced by document review and licensee interview. A review staff records showed that S1 was missing the certificate. This poses an potential health risk to the health and safety of children in care.
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Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250.00 per violation and $100 per day until corrected.
Type B
08/12/2019
Section Cited
CCR
101616.3(f)
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Personnel Requirements
At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be onsite at all times when children are present.
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Licensee will contact the facility to obtain the EMSA approved stickers or register for a Pediatric CPR and First Aid course. She will send a copy of the registration to Oakland CCL.
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This requirement was not met as evidenced by document review and licensee interview. A review of staff records showed that no one has a valid pediatric CPR and First Aid certificates. This poses an potential health risk to the health and safety of children in care.
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Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250.00 per violation and $100 per day until corrected.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline ColsonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: ESCUELA BILINGUE INTERNACIONAL
FACILITY NUMBER: 013418191
VISIT DATE: 07/12/2019
NARRATIVE
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RECORDS: Required forms were posted in an public accessible area.

LPA discussed with the director about updating the facility file with the new board members, applicant/licensee and board resolution. Once the boards convenes, the board will send the board resolution to update the facility file.

This facility is not providing Incidental Medical Services-IMS at this time. LPA discussed IMS services and the requirement to update the plan of operation. Specifics on the plan can be found in the child care center evaluator manual (CCC EM) Policy 101173.
REMINDERS/RESOURCES
· Criminal Background Clearance: All assistants, volunteers, frequent adult visitors (adults are individuals 18 years of age or older) must be fingerprint cleared and associated to the facility prior to be in the presence of children in care. Failure to comply, requires an immediate civil penalty of $100 to $3000 per person, per incident.

· CCLD Complaint Hotline, 1-844-LET-US-NO (1-844-538-8766) email: LetUsNo@dss.ca.gov

· Licensees and all staff are Mandated Reporters and are required to report to CCLD any suspected child abuse.

The childcareadvocatesprogram@dss.ca.gov is the email address for the applicant to sign up to receive PINS.

Licensee was asked to go to our website at www.ccld.ca.gov to ensure that she is informed of all new laws and regulations.

Please See LIC 809 D for deficiencies
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline ColsonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ESCUELA BILINGUE INTERNACIONAL
FACILITY NUMBER: 013418191
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/12/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/12/2019
Section Cited
CCR
101620(a)(1)
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Medical Assessments
The medical assessment shall be performed by a physician or other health professional working under the supervision of a physician.
C1 and C2 don't have physician reports.
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Licensee will request that the parents make an appointment and have the physician reports completed.
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This requirement was not met as evidenced by document review and licensee interview. A review of children records show that C1 and C2 are missing the physician reports. This poses an potential health risk to the health and safety of children in care.
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Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250.00 per violation and $100 per day until corrected.
Type B
08/12/2019
Section Cited
HSC
1596.799
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Employees or volunteers at day care center; immunization requirements; records; exemptions
(a) (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

S2 is missing the Measles. vaccination.
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Licensee will have S1 obtain documentation that she is immune and send to Oakland CCL.
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This requirement was not met as evidenced by document review and licensee interview. A review of staff records show that S2 is missing the Measles vaccination. This poses an potential health risk to the health and safety of children in care.
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Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250.00 per violation and $100 per
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline ColsonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4